Molar incisor hypomineralisation (MIH) training manual for clinical field surveys and practice

Ghanim, Aghareed; Silva, Mihiri; Elfrink, M.E.C.; Lygidakis, N. A.; Mariño, Rodrigo; Weerheijm, K.L.; Manton, David J.

doi:10.1007/s40368-017-0293-9

Cited by 164 publications

(245 citation statements)

References 23 publications

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“…The examination of the primary second molars was performed clockwise, starting with the upper second right primary molar . The diagnosis was made according to the criteria established by the European Academy of Paediatric Dentistry (EAPD) for molar‐incisor hypomineralization which includes demarcated opacities, post‐eruptive breakdown, atypical restorations, and tooth loss caused by hypomineralization.…”

Section: Methodsmentioning

confidence: 99%

“…The participant who presented a HSPM signal on at least one surface of any primary second molar was diagnosed with the condition. Defects smaller than 1 mm were disregarded …”

Section: Methodsmentioning

confidence: 99%

“…(d) Carious lesions: opaque, rough enamel, reaching areas that retain plaque, such as the cervical or occlusal region. HSPM can affect any surface of the tooth, with no predilection for plaque retention regions . Diffuse opacity, hypoplasia, and amelogenesis imperfecta identified in the primary second molars of pre‐schoolers were recorded …”

Section: Methodsmentioning

confidence: 99%

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Pre‐term birth and asthma is associated with hypomineralized second primary molars in pre‐schoolers: A population‐based study

Lima

Pereira

Moura

et al. 2019

Int J Paed Dentistry

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Background Hypomineralized second primary molar (HSPM) is a developmental enamel defect that represents a caries‐risk factor. There are few studies about HSPM epidemiology in representative populations. Aim To determine the prevalence and factors associated with HSPM in pre‐schoolers. Design This is a cross‐sectional population‐based study of 5‐year‐old pre‐schoolers from Teresina, Brazil. The sample was randomly selected and stratified by geographic region of the city, type of school (public and private), and sex of the pre‐schoolers (n = 811). Sociodemographic status and pre‐, peri‐, and post‐natal conditions were collected by structured questionnaires. Two calibrated examiners diagnosed HSPM using the criteria of the European Academy of Paediatric Dentistry for molar‐incisor hypomineralization. Severity, colour, location, and extent of lesions were also evaluated. Descriptive analysis of the data and a Poisson regression analysis were performed (P < .05). Results The prevalence of HSPM was 14.9. Demarcated opacities (75.6%) and white/cream colour were the most prevalent (71.4%). Pre‐term pre‐schoolers had 66% (PR = 1.66, 95% CI = 1.07‐2.58), and those who reported asthma in the first year of life had 69% (PR = 1.69, 95% CI = 1.01‐2.85) higher prevalence of HSPM. Conclusions Pre‐term birth and reported asthma in the first year of life were associated with HSPM. The prevalence of HSPM in pre‐schoolers aged 5 years old in Teresina was high.

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Section: Methodsmentioning

confidence: 99%

“…The participant who presented a HSPM signal on at least one surface of any primary second molar was diagnosed with the condition. Defects smaller than 1 mm were disregarded …”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Pre‐term birth and asthma is associated with hypomineralized second primary molars in pre‐schoolers: A population‐based study

Lima

Pereira

Moura

et al. 2019

Int J Paed Dentistry

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“…The new index potentially minimises misdiagnosis of MIH/HSPM, is available for a wide range of ages to explore the prevalence of MIH/HSPM, and determines the prevalence changes over time. A training module was developed to assist researchers in implementing the index in a standardised manner …”

Section: Introductionmentioning

confidence: 99%

“…The aim of the present study is to assess the validity and reproducibility of the new index of MIH/HSPM. The new index would allow better comparison of MIH/HSPM prevalence data between different geographical regions …”

Section: Introductionmentioning

confidence: 99%

Validity and reproducibility testing of the Molar Incisor Hypomineralisation (MIH) Index

Ghanim

Mariño

Manton

2018

Int J Paed Dentistry

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Background To address challenges presented to clinicians to diagnose and treat molar incisor hypomineralisation (MIH), a new assessment tool was created. Aim To explore the reproducibility and validity of a new instrument developed to assess MIH. Methods Inter‐rater and test‐retest reliabilities were examined using Cronbach's alpha. Thirty‐five oral health professionals scored clinical photographs for the presence/absence of MIH and other enamel defects using the new index. Face, content, and construct validities were assessed. A panel of six experienced researchers assessed face validity. Construct validity was determined by examining hypothesised associations with clinical variables reported to change concurrently or as modifiers of the MIH outcome. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were also assessed. Results The index reflected the hypothesised associations regarding the presence, prevalence, and severity of MIH, demonstrating construct validity. Researchers indicated that codes and definitions were clear and suitable for international use. The index showed satisfactory scores of sensitivity/specificity and PPV/NPV. Examiners achieved “Substantial” to “Almost perfect” levels of agreement in clinical presentation and lesion extension. Conclusions The tested MIH index had reasonably solid properties providing confidence that it is a reliable and valid instrument for use in population‐based and clinical screenings for diagnosis of MIH and other enamel defects.

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Bonding and Debonding Considerations in Orthodontic Patients Presenting Enamel Structural Defects

Koletsi,

Gerald Bradley,

Kavvadia

2023

Debonding and Fixed Retention in Orthodontics

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Molar incisor hypomineralisation (MIH) training manual for clinical field surveys and practice

Abstract: The use of a standardised protocol, diagnostic and grading criteria will greatly enhance the quality of epidemiological studies of MIH.

Cited by 164 publications

References 23 publications

Pre‐term birth and asthma is associated with hypomineralized second primary molars in pre‐schoolers: A population‐based study

Pre‐term birth and asthma is associated with hypomineralized second primary molars in pre‐schoolers: A population‐based study

Validity and reproducibility testing of the Molar Incisor Hypomineralisation (MIH) Index

Bonding and Debonding Considerations in Orthodontic Patients Presenting Enamel Structural Defects

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